A Meta-Analysis of Nucleos(t)ide Analogues in Patients with Decompensated Cirrhosis Due to Hepatitis B

A Meta-Analysis of Nucleos(t)ide Analogues in Patients with Decompensated Cirrhosis Due to Hepatitis B
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乙型肝炎失代偿性肝硬化患者核苷(酸)类似物的荟萃分析

DOI:
10.1007/s10620-012-2414-y
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发表时间:
2013-03
影响因子:
3.1
通讯作者:
Shen Xizhong
Shen Xizhong
中科院分区:
医学3区
文献类型:
--
作者:
Huang Yingnan;Wu Hao;Wu Shengdi;Fu Da;Ma Y;Shen Xizhong

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Background:The effect of nucleos(t)ide analogues therapy in patients with decompensated cirrhosis remains unclear.Aim:The purpose of this study was to evaluate the effect of nucleos(t)ide analogues on decompensated cirrhotic patients.Methods:An online search within PubMed, Web of Science, Embase, Cochrane Central of Register of Controlled Trials and China Biology Medicine disc from 1998-01-01 to 2011-09-05 was conducted. A meta-analysis was performed. Relative risks of mortality rate, Child-Pugh-Turcotte score and hepatitis B e-antigen (HBeAg) seroconversion of the decompensated patients were studied.Results:Eight studies involving 511 patients were included. Data showed that lamivudine and telbivudine significantly decreased the mortality rate (relative risk 0.36, 95 % confidence interval 0.25-0.54), improved the Child-Pugh-Turcotte scores (mean difference -3.23, 95 % confidence interval -3.98 to -2.48) and promoted HBeAg seroconversion (relative risk 7.48, 95 % confidence interval 2.31-24.20).Conclusion:For patients with decompensated cirrhosis, lamivudine and telbivudine significantly decrease the mortality rate and disease severity. Also, they promote their HBeAg seroconversion.
DOI: 10.1086/368083
发表时间: 2003-03-15
影响因子: 11.8
作者:
Lai, CL;Dienstag, J;Condreay, L
通讯作者: Condreay, L
DOI: 10.5694/mja12.10598
发表时间: 2012-05
影响因子: 11.4
作者:
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DOI: 10.1046/j.1572-0241.2003.04021.x
发表时间: 2004-01
影响因子: 9.8
作者:
S. Manolakopoulos;S. Karatapanis;J. Elefsiniotis;N. Mathou;J. Vlachogiannakos;E. Iliadou;Anastasios Kougioumtzan;M. Economou;C. Triantos;D. Tzourmakliotis;A. Avgerinos
通讯作者: S. Manolakopoulos;S. Karatapanis;J. Elefsiniotis;N. Mathou;J. Vlachogiannakos;E. Iliadou;Anastasios Kougioumtzan;M. Economou;C. Triantos;D. Tzourmakliotis;A. Avgerinos
DOI: 10.1053/j.gastro.2005.11.016
发表时间: 2006-03-01
期刊: GASTROENTEROLOGY
影响因子: 29.4
作者:
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通讯作者: Chen, CJ
DOI: 10.1053/jlts.2003.50005
发表时间: 2003-01-01
影响因子: 4.6
作者:
Hann, HWL;Fontana, RJ;Griffiths, D
通讯作者: Griffiths, D